Article

Cognitive-behavioral treatment of body dysmorphic disorder: A case report

Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences, Bethesda, MD 20814-4799, USA.
Journal of Behavior Therapy and Experimental Psychiatry (Impact Factor: 2.23). 07/1995; 26(2):161-7. DOI: 10.1016/0005-7916(95)00004-J
Source: PubMed

ABSTRACT Body dysmorphic disorder (BDD) refers to preoccupation with an imagined physical defect or the exaggeration of a slight physical anomaly. Since BDD's inclusion in the DSM-III-R, there have been only a handful of reports of its cognitive-behavioral treatment. We describe one successful short-term cognitive-behavioral therapy treatment of a BDD patient whose presenting concern was small hand size. After nine sessions of therapy, the patient evidenced substantial change on indices measuring affective, cognitive, and behavioral facets of BDD. There was also clinically meaningful improvement in overall levels of depression and anxiety. It is suggested that cognitive-behavioral treatment programs for BDD should take into account comorbid conditions such as social phobia, and avoidant personality disorder.

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    • "CBT, but not BT alone, yielded larger effect sizes than pharmacotherapy. Additional support for the benefits of CBT comes from case reports; however, only a few case descriptions illustrating the application of different treatment strategies in BDD have been published (e.g., Munjack, 1978; Phillips et al., 1993; Schmidt & Harrington, 1995). The current paper will provide a case description to illustrate state-of-the-art clinical strategies and clinical decision-making in BDD. "
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    ABSTRACT: Although body dysmorphic disorder (BDD) has been described in the literature for more than a century, there has been only a limited focus on the development of cognitive behavioral treatments for BDD. Our case report provides a detailed description of a course of cognitive behavioral treatment (CBT) for an individual with BDD. The patient was treated for 10 weekly 50-minute individual sessions. The treatment focused on psychoeducation, cognitive restructuring, exposure and response prevention, and perceptual retraining exercises. The patient's BDD symptoms significantly improved over the course of the treatment. This case study illustrates several clinical strategies and provides further support for CBT as a promising treatment for individuals suffering from BDD.
    Cognitive and Behavioral Practice 08/2010; 17(3):241-247. DOI:10.1016/j.cbpra.2010.02.001 · 1.33 Impact Factor
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    • "Relatively little research has been conducted to examine the efficacy of psychologic treatments for BDD. Early support for cognitive and behavioral treatments was found in a number of individual case reports [57] [58] as well as in case series [59] [60]. Wait-list–controlled trials lent further support to this approach [61], indicating that CBT was associated with better outcomes than no treatment or wait-list control. "
    Corsini Encyclopedia of Psychology, 01/2010; , ISBN: 9780470479216
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    • "Relatively little research has been conducted to examine the efficacy of psychologic treatments for BDD. Early support for cognitive and behavioral treatments was found in a number of individual case reports [57] [58] as well as in case series [59] [60]. Wait-list–controlled trials lent further support to this approach [61], indicating that CBT was associated with better outcomes than no treatment or wait-list control. "
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    ABSTRACT: BDD remains an understudied psychiatric disorder. Further research is required to establish its etiopathology and neurocognitive underpinnings. Its relationship to other psychiatric disorders requires clarification. Also needed is a much better understanding of the best treatments to adopt should conventional approaches (eg, SRIs, CBT) fail.
    Psychiatric Clinics of North America 07/2006; 29(2):521-38. DOI:10.1016/j.psc.2006.02.001 · 2.13 Impact Factor
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